Abayomi O, Dritschilo A, Emami B, Watring W G, Piro A J
Int J Radiat Oncol Biol Phys. 1982 Feb;8(2):241-4. doi: 10.1016/0360-3016(82)90520-x.
The value of tests employed in the clinical staging of patients with carcinomas of the cervix and endometrium has been examined in a retrospective review of 739 consecutive patients seen at Tufts-New England Medical Center. The yield of positive results of the barium enema (0%) and proctosigmoidoscopy (0.8%) in carcinoma of the cervix suggests that some of these studies may be omitted in asymptomatic patients with early disease on pelvic examinations. Similarly, for carcinoma of the endometrium, the yields from barium enema (0.9%) cytoscopy (0.9%) and proctosigmoidoscopy (0.6) are low. It is concluded that optimal patient care (with respect to morbidity and costs) may be provided without routinely performing these studies in staging asymptomatic patients with cervical and endometrial carcinomas.
通过对塔夫茨新英格兰医疗中心连续诊治的739例患者进行回顾性研究，探讨了用于子宫颈癌和子宫内膜癌患者临床分期的检查方法的价值。子宫颈癌患者钡剂灌肠（0%）和直肠乙状结肠镜检查（0.8%）的阳性结果率表明，对于盆腔检查中早期无症状疾病患者，其中一些检查可能可以省略。同样，对于子宫内膜癌，钡剂灌肠（0.9%）、膀胱镜检查（0.9%）和直肠乙状结肠镜检查（0.6%）的阳性结果率较低。结论是，在对无症状的子宫颈癌和子宫内膜癌患者进行分期时，不常规进行这些检查也可能提供最佳的患者护理（在发病率和成本方面）。
